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AAOS Cervical Spine Active Range of Motion

The document is a form for recording cervical spine range of motion measurements over multiple examination dates. It includes spaces to record dates of examination and measurements for flexion, extension, lateral flexion, and rotation in degrees, with the normal range provided in parentheses for each motion. The form accommodates recording measurements over 12 examination dates for an individual patient.

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Rusty Kuule
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1K views

AAOS Cervical Spine Active Range of Motion

The document is a form for recording cervical spine range of motion measurements over multiple examination dates. It includes spaces to record dates of examination and measurements for flexion, extension, lateral flexion, and rotation in degrees, with the normal range provided in parentheses for each motion. The form accommodates recording measurements over 12 examination dates for an individual patient.

Uploaded by

Rusty Kuule
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MediGraph Testing Facilty

AAOS Cervical Spine Active Range Of Motion


Name: _____________________________________________
Dates of Examinations
Cervical

____/____/____

____/____/____

____/____/____

____/____/____

Flexion

________(45)

________(45)

________(45)

________(45)

Extension

________(45)

________(45)

________(45)

________(45)

Rt. Lateral Flexion


Lt. Lateral Flexion

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

Rt. Rotation
Lt. Rotation

________(60)
________(60)

________(60)
________(60)

________(60)
________(60)

________(60)
________(60)

Dates of Examinations
Cervical

____/____/____

____/____/____

____/____/____

____/____/____

Flexion

________(45)

________(45)

________(45)

________(45)

Extension
Rt. Lateral Flexion

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

Lt. Lateral Flexion


Rt. Rotation

________(45)
________(60)

________(45)
________(60)

________(45)
________(60)

________(45)
________(60)

Lt. Rotation

________(60)

________(60)

________(60)

________(60)

Dates of Examinations
Cervical

____/____/____

____/____/____

____/____/____

____/____/____

Flexion
Extension

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

Rt. Lateral Flexion


Lt. Lateral Flexion

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

________(45)
________(45)

Rt. Rotation

________(60)

________(60)

________(60)

________(60)

Lt. Rotation

________(60)

________(60)

________(60)

________(60)

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